HomeMy WebLinkAboutPermit Electrical 2013-6-28 SPRINGFIELD- 225 Fifth St
` - CITY OF SPRINGFIELD Springfield,OR 97477
ti Phone: 541-726-3753
OREGON Building / Commercial Permit Inspection Phone: 541-726-3769
Fax: 541-726-3676
PERMIT NO: 811-SPR2013-01488
www.springfield-or.gov permitcenter@springfield-or.gov
PROJECT STATUS: Application submitte ISSUED: EXPIRES: 12/24/2013
STATUS DATE: 06/2812013 APPLIED: 06/28/2013
SITE ADDRESS: 945 28TH ST,Springfield,OR 97477 SCOPE: Electrical Only
ASSESOR'S PARCEL NO: 1702310001101 TYPE OF STRUCTURE: Commercial
PROJECT DESCRIPTION: ELE-Prosper Park-Warehouses
OWNER: PROSPER PARK LLC Phone Number:
ADDRESS: 34801 MATTHEWS RD
EUGENE OR 97405
CONTRACTOR INFORMATION
Contractor Type Contractor Name Lit Type Lic No Lic Exp Phone
Electrical Contractor EASTSIDE ELECTRIC INC CCB 117770 10/04/2013 541-741-1499
L INSPECTIONS REQUIRED
Inspections
4225 Service or Feeder
4500 Rough Electrical Rough Electric: Prior to Cover
4999 Final Electrical Final Electric: When all electrical work is complete.
By signature, I state and agree, that I have carefully examined the completed application and do hereby certify that all
information hereon is true and correct, and I further certify that any and all work performed shall be done in accordance with the
Ordinances of the City of Springfield and the Laws of the State or Oregon pertaining to the work described herein, and that NO
OCCUPANCY will be made of any structure without permission of the Community Services Division, Building Safety. I further
certify that only contractors and employees who are in compliance with ORS 701.005 will be used on this project. I further agree
to ensure that all required inspections are requested at the proper time,that each address is readable from the street, that the
permit card is located at the front of the property, and the approved set of plans will remain on the site at all times during
construction.
VMM lZ'9 7 -.29 . 13
Owner or Contractor Signature Date
ATTENTION: Oregon by the Oregon Utility
follow rules adop
NOTICE: Notification Center. Those r h OAR 952"001-
in OAR 952 001"obta n copies of the rules by
THIS PERMIT SHALL EXPIRE IF THE IS NOT 0090. You may
AUTHORIZED UNDER THIS PERMIT IS NOT calling the center. (Note: the teleph:: o
COMMENCED OR IS ABANDONED FOR number forthe Ore800-33212344).ftcatlon
ANY 180 DAY PERIOD.
Springfield Building Permit 7/29/2013 10:52:47AM Page 1 of 1
SPRINGFIELD - CITY OF SPRINGFIELD
kir225 Fifth St
`��; TRANSACTION RECEIPT SpringfielSOR97477
OREGON 541-726-3753
811-S PR2013-01488
www.springfield-or.gov 945 28TH ST permitcenter @springfield-or.gav
RECEIPT NO: 2013001649 RECORD NO:811-SPR2013-01488 DATE:07/29/2013
[DESCRIPTION_ • • .r ACCOUNTCODE/TRANS CODE^ AMOUNTDUEJ
Branch circuits with service or feeder each circuit 224-00000-426102 1004 156.00
Services 201 to 400 amps 224-00000-426102 1004 104.50
State of Oregon Surcharge(12%of applicable fees) 821-00000-215004 1099 31.26
Technology fee(5%of permit total) 100-00000-425605 2099 13.03
TOTAL DUE: 304.79
_PAYMENT TYPE PAYOR-.• CASHIER:JLARSON COMMENTS,_. - . AMOUNT PAID . .L .
Cash EASTSIDE ELECTRIC INC 304.79
01488G
TOTAL PAID: 304.79
•
Electrical Permit Application DEPARTMENT:USE ONLY
e` illaWQFSPRINGbiELD,t0REa6N-r km.„.. in :y - /�{V
. 'e'•r k , ,:,t, —,:. -5s ,,,,zY. . tes , a .ie,c , Perm
225 Fifth Street♦Springfield,OR 97477♦PH(541)726-3753♦FAX(541)726-3689
Date: Z(z 7/3
This permit is issued under OAR 918-309-0000.Permits are nontransferable. Permits expire if work is not started within 180
days of issuance or if work is suspended for 180 days.
+, .j,, i . EOtAL=,GOVERNMENT;QFPaQVA115)4V„`„ ,ik a F' ', FEE?SCHEDULE?,i, m '1I ; „`
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Zoning approval verified? ❑ Yes ❑No Number of inspecttons,perutem(t)f? 4 Q y1 lr Qast,r * cost'
1-, F 7 „CATEGORY,,'OF1ACONSTRUCTION ? ,.
❑' Residential,per unit,service included:
Residential ❑ Government rlf1 Commercial
;, 1,000 sq. ft. or less(4) $147.50 $
rii, JOB SITE,INFQRMATIOW AND FL-OCATION 0
9K- �� Each additional 500 sq ft.or portion
Job site address: thereof $ 27.50 $
City: S p j ,) Statet'! ZIP: 97'(77 Limited energy(2) $ 35.00 $
Reference: `y/ Taxlot.: Each manufactured home or modular $ 69.00 $
'I V.IF: „ ?'4`1DESCRIPTION?OF=;WORK ' w[ vf,�"v dwelling service or feeder(2)
CCJJ(ILI l) - 7J /U Y _-- f Ii— ?J)'' Services or feeders: installation, alteration, relocation
200 amps or less(2) $ 89.00 $
71.:4ha,S rJ'i,(PROPERTYIOWNER ,;;1' 4 .t-,` ,*±?? 201 to 400 amps(2) / $ 104.50 Skytt 5j
401 to 600 amps(2) $174.00 $
Name:
T ,vahccrch ri
Address: 601 to 1,000 amps(2) $225.50 $
City: State: ZIP: Over 1,000 amps or volts(2) $516.00 $
Phone: - - Fax: - - - Reconnect only(2) $ 69.00 $
E-mail: Temporary services or feeders: installation, alteration, relocation
This installation is being made on residential or farm property 200 amps or less(2) $ 69.00 $
owned by me or a member of my immediate family. This 201 to 400 amps(2) c0 $ 96,00 $
property is not intended for sale, exchange, lease, or rent. OAR
479.540(1)and 479.560(1). 401 to 600 amps(2) $138.50 $
Signature: Over 600 amps or 1,000 volts,see services or feeders section above
,?r', a%'4jnCONTRACTOR;INSTALLATION air `F_;r`u; Branch circuits:new alteration, extension per panel
Business name: E A S7s l0 E EG ECT R I C a. Fee for branch circuits with purchase of a service or feeder fee:
38253 BOCCAGE CANE Each branch circuit 1t� / & -Address:Address: $ s.so $ /"
City: S P F LO State: 0 R. ZIP: 97 1/7 ' b.Fee for branch circuits without purchase of a service or feeder fee:
Phone: -1 W- I V679 Fax: 736- Vf9C O First branch circuit(2) $ 60.50 $
E-mail: RO K NO 6 I c, V. A H00.Coin Each additional branch circuit $ 6.50 $
CCB license no.: 117l'7 0 BCD license no.:20 .Y05-C Miscellaneous fees:service or feeder not included
Signing supervisor's license no.: 4 72 7 S Each pump or irrigation circle(2) $ 69.00 $
Print name of signing supervisor: ROGER IO I N G Each sign or outline lighting(2) $ 69.00 $
Signature of signing supervisor: Ct11.4 �' Signal circuit or a limited-energy panel, $ 80.00 $
— V alteration,or extension(2)
Each additional inspection:(1) $80.00 $
i el t A PP LCANT? SENL,'•. . r ` °3
(A) Enter subtotal of above fees
(Minimum Permit Fee$80.00) $ 05:0„
(B)Enter 12%surcharge(.12 x[A]) • $ �/ZIO
(C)Technology Fee(5%of[A]) $ 60 S
TOTAL fees and surcharges(A through C): S (�f{
440-2584-1(4/012013/COM) - t